Individual
MRS. CORENA HITT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 CENTER AVE, DICKSON, TN 37055-2458
(615) 446-2134
(615) 446-2866
Mailing address
402 CENTER AVE, DICKSON, TN 37055-2458
(615) 446-2134
(615) 446-2866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
767
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202102
—
TN
01
—
3065270
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/23/2006
Last updated
03/17/2016
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